B14 networking and interoperability of medical devices - WHO · Design partnerships ... ITIL compliance Asset Mgt. (UNSPSC, UDI), ... networking and interoperability of medical devices

Device locationDevice identity (FDA/UDI)Universal timeNetwork dependency mapsPerformance dashboardsPower monitor, mgt

Pre-acquisition specifications (ECRI), evidence databases, assessment, simulations, demos, standards, testing, certification

Design partnerships

Workforce training, labor negotiations, toolsSupply chain mgt., supplies, green sustainabilityStaging, provisioning, safety testsMD/FIRE contract requirementsITIL complianceAsset Mgt. (UNSPSC, UDI), deploy, retireService Mgt , Service Level AgreementsRemote device management, troubleshootingPlanned maintenance/PMsIncident mgt/corrective maintenanceProblem mgt, root-cause analysisPerformance metrics, analytics, reports

Move-add-change activityPatch, upgrade, updateSecurity updateAutomated inventoryVersion updates

Self-monitoring and self-reportingPredictive failure checksEvent logsData buffers, cachesBusiness continuity, disaster recovery statusing

Pt. identification, device pairingBarcode scannersProximity sensors, activatorsDisplays, Data VisualizationAlarms, Alerts, NotificationsPaging

Secure, high confidence network mgt.Clinical checklistsClinical practice guideline conformanceCarepath, workflow re-engineeringSafety interlocks Institutional researchClinical decision supportMulti-core processorsHypervisorsEMR transactionsEpisode of care log, billing, coding

Availability

Mgt

System Lifecycle Mgt

Model

Configuration

Mgt

Reliability, Risk

Management

Peripherals

Mgt

Network

Transaction

Mgt

Integrated Clinical

Environment(ICE) Mgt

Procedure

Health

InformaticsDrug

Vision, Strategy, Policy

*Sector, Enterprise *Clinical *Operations

Technology Assessment,

Planning, Budgets

Integration Planning, Testing,

Certification

Contracting,

ProcurementDeployment

Operations Support

Refresh, Recycle

Next-Generation Medical Devices and Systems will go well beyond Clinical functions to include

complex Network Transactions and System Lifecycle Management functions as well

Evolutionaryinter-dependencies

Fred Hosea, Ph.D.

Kaiser Permanente

Contact

• Program Manager, Clinical TechnologyResearch and Innovation

• 1795 Second St.

• Berkeley, California 94710

•fred.w.hosea@kp.org tangofred@gmail.com

•510-559-4842 office 510-812-5086 cell

•510-684-6925 cell

B14Frameworks for addressing the increased complexity, networking and interoperability of medical devices

©Fred Hosea, Ph.D. - 2010

Systems-of-

Systems

Clinical Systems

MedicalDevice

RESEARCHREGULATION

BEST PRACTICESCOST STRUCTURE

WELLNESS, TELEHEALTH, TELEMEDICINE

Enterprise Architecture

Transition planning: IPv4 ->6 , HL7 v2->v3, ICD-9->10,

SNOMED, LOINC, UMLS etc.

Electronic Medical Record transactions,

data warehousing

Quality of Service Environments (deterministic

vs. probabilistic; wireless spectrum mgt.

life critical vs. business)

Data, messaging, imagestandards and updates (HL7,

CDL, XML, RIM, DICOM, syntactic, semantic

interoperability)

Connectivity, logon, session management,

security, confidentiality

Device, facility data cacheing